Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $46.77 / $79.43	Facility		$9.55	$46.77	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $20.89	Professional		$5.01	$6.03	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.41 / $9.33	Professional		$4.68	$7.41	$9.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.08 / $7.08	Facility		$6.46	$7.08	$7.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $25.70	Professional		$6.46	$6.46	$25.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.12 / $41.69	Facility		$22.91	$25.12	$41.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $14.45	Professional		$12.02	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.46 / $8.32	Professional		$4.68	$6.46	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $12.88 / $19.50	Professional		$4.07	$12.88	$19.50